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开发评估心理健康素养的量表,以评估对抑郁、焦虑障碍和精神分裂症/精神病的识别和干预。

Development of scales to assess mental health literacy relating to recognition of and interventions for depression, anxiety disorders and schizophrenia/psychosis.

机构信息

Orygen Youth Health Research Centre, Centre for Youth Mental Health, and Population Mental Health Group, Melbourne School of Population and Global Health, The University of Melbourne, Australia.

出版信息

Aust N Z J Psychiatry. 2014 Jan;48(1):61-9. doi: 10.1177/0004867413491157. Epub 2013 Jun 6.

DOI:10.1177/0004867413491157
PMID:23744982
Abstract

OBJECTIVE

The aim of this study was to develop scales to assess mental health literacy relating to affective disorders, anxiety disorders and schizophrenia/psychosis.

METHOD

Scales were created to assess mental health literacy in relation to depression, depression with suicidal thoughts, early schizophrenia, chronic schizophrenia, social phobia and post-traumatic stress disorder using data from a survey of 1536 health professionals (general practitioners, clinical psychologists and psychiatrists), assessing recognition of these disorders and beliefs about the helpfulness of interventions. This was done by using the consensus of experts about the helpfulness and harmfulness of treatments for each disorder as a criterion. Data from a general population survey of 6019 Australians aged ≥ 15 was used to examine associations between scale scores, exposure to mental disorders and sociodemographic variables, to assess scale validity.

RESULTS

Those with a close friend or family member with a mental disorder had significantly higher mean scores on all mental health literacy scales, providing support for scale validity. Personal experience of the problem and working with people with a similar problem was linked to higher scores on some scales. Male sex, a lower level of education and age > 60 were linked to lower levels of mental health literacy. Higher scores were also linked to a greater belief that people with mental disorders are sick rather than weak.

CONCLUSIONS

The scales developed in this study allow for the assessment of mental health literacy in relation to depression, depression with suicidal thoughts, early schizophrenia, chronic schizophrenia, social phobia and PTSD. Those with exposure to mental disorders had higher scores on the scales, and analyses of the links between scale scores and sociodemographic variables of age, gender and level of education were in line with those seen in other studies, providing support for scale validity.

摘要

目的

本研究旨在开发评估与情感障碍、焦虑障碍和精神分裂症/精神病相关的心理健康素养的量表。

方法

使用来自对 1536 名卫生专业人员(全科医生、临床心理学家和精神科医生)的调查数据,通过创建与抑郁、有自杀想法的抑郁、早期精神分裂症、慢性精神分裂症、社交恐惧症和创伤后应激障碍相关的心理健康素养量表,评估这些疾病的识别和对干预措施的有效性的信念。这是通过使用专家共识来确定每种疾病的治疗方法的有效性和危害性作为标准来完成的。使用来自澳大利亚≥15 岁的普通人群调查的 6019 名澳大利亚人的数据,检验量表得分、接触精神障碍和社会人口统计学变量之间的关联,以评估量表的有效性。

结果

有亲密朋友或家人患有精神障碍的人在所有心理健康素养量表上的平均得分显著更高,这为量表的有效性提供了支持。个人对问题的经验和与有类似问题的人合作与一些量表的高分有关。男性、较低的教育程度和年龄>60 与心理健康素养较低有关。较高的分数也与人们对精神障碍患者是生病而不是虚弱的信念更强有关。

结论

本研究中开发的量表可用于评估与抑郁、有自杀想法的抑郁、早期精神分裂症、慢性精神分裂症、社交恐惧症和创伤后应激障碍相关的心理健康素养。接触精神障碍的人在量表上的得分更高,并且对量表得分与年龄、性别和教育程度等社会人口统计学变量之间的关联的分析与其他研究中的结果一致,为量表的有效性提供了支持。

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